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NPI Code Detail

MEDICARE: CHANDNISH K AHLUWALIA M.D.

MEDICARE: CHANDNISH K AHLUWALIA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianA44903CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508850421
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDNISH K AHLUWALIA M.D.
Provider Business Mailing Address
First Line : 1812 VERDUGO BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1407
Country : US
Telephone Number : 818-790-7100
Fax Number :
Provider Business Practice Location Address
First Line : 1812 VERDUGO BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1407
Country : US
Telephone Number : 818-952-2286
Fax Number : 818-952-2274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 09/18/2017

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